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Jonathan S Mitchell, PT,ATC
Specialist in Covington, Louisiana
NPI 1093814667

Jonathan S Mitchell is a Specialist based in Covington, LA. Jonathan S Mitchell practices in Covington, LA and has the professional credentials of PT,ATC. The NPI Number for Jonathan S Mitchell is 1093814667 and holds a License No. PT06910 (Louisiana).

The current practice location address for Jonathan S Mitchell is 129 Corporate Dr, Covington, LA and can be reached out via phone at 985-249-6111 and via fax at 985-249-6109.

Location: 129 Corporate Dr, Covington, LA, 70433-1057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093814667
Provider Name
Jonathan S Mitchell
Credential
PT,ATC
Provider Entity Type
Individual
Gender
Male
Address
129 Corporate Dr, Covington, LA, 70433-1057
Phone Number
985-249-6111
Fax Number
985-249-6109
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT06910 01 LA PT LICENSE #
institution
Provider Business Practice Location Address Details
Address
129 Corporate Dr
City
Covington
State
Louisiana
Zip
70433-1057
Phone Number
985-249-6111
Fax Number
985-249-6109
person
Provider Business Mailing Address Details
Address
129 Corporate Dr
City
Covington
State
Louisiana
Zip
70433-1057
Phone Number
985-249-6111
Fax Number
985-249-6109
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT06910 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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